Effects of gait training using a robotic constraint (Lokomat®) on gait kinematics and kinetics IN chronic stroke patients

Journal of Rehabilitation Medicine

Volumn 46, Issue 2, 2014, Pages 132-138

  Bonnyaud, Céline ^a,b   Pradon, Didier ^a   Boudarham, Julien ^a   Robertson, Johanna ^a   Vuillerme, Nicolas ^b,c   Roche, Nicolas ^a  

^a RAYMOND POINCARÉ HOSPITAL   (France)

^b LABORATOIRE DES SCIENCES DU CLIMAT ET DE L ENVIRONNEMENT   (France)

^c Institut Universitaire de   (France)

Author keywords

Biomechanical gait parameters; Gait training; Lokomat ; Motor after effects; Stroke

Indexed keywords

ADULT; AGED; ARTICLE; BIOMECHANICS; CEREBROVASCULAR ACCIDENT; FEMALE; GAIT; HIP; HUMAN; JOINT CHARACTERISTICS AND FUNCTIONS; KNEE; MALE; MIDDLE AGED; NEUROLOGIC GAIT DISORDER; PARESIS; PATHOPHYSIOLOGY; ROBOTICS; TREATMENT OUTCOME;

ADULT; AGED; BIOMECHANICAL PHENOMENA; FEMALE; GAIT; GAIT DISORDERS, NEUROLOGIC; HIP JOINT; HUMANS; KNEE JOINT; MALE; MIDDLE AGED; PARESIS; RANGE OF MOTION, ARTICULAR; ROBOTICS; STROKE; TREATMENT OUTCOME;

EID: 84894616785     PISSN: 16501977     EISSN: None     Source Type: Journal    
DOI: 10.2340/16501977-1248     Document Type: Article

References (34)

1. Bohannon RW. Gait performance of hemiparetic stroke patients: selected variables. Arch Phys Med Rehabil 1987; 68: 777-781.
2. Olney SJ, Griffin MP, Mc Bride ID. Temporal, kinematic and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach. Phys Ther 1994; 74: 872-885.
3. Von Schroeber HP, Coutts RD, Lyden PD, Billings E Jr, Nickel VL. Gait parameters following stroke: a practical assessment. J Rehabil Res Dev 1995; 32: 25-33.
4. Hummelsheim H. Rationales for improving motor function. Curr Opin Neurol 1999; 12: 697-701.
5. Langhorne P, Duncan P. Does the organization of post-acute stroke care really matter? Stroke 2001; 32: 268-274.
6. Liston R, Mickelborough J, Harris B, Hann AW, Tallis RC. Conventional physiotherapy and treadmill re-training for higher-level gait disorders in cerebrovascular disease. Age Ageing 2000; 29: 311-318.
7. Belda-Lois JM, Mena-del Horno S, Bermejo-Bosch I, Moreno JC, Pons JL, Farina D, et al. Rehabilitation of gait after stroke: a review towards a top-down approach. J Neuroeng Rehabil 2011; 13: 8-66.
8. Carr R, Shepherd J. Neurological rehabilitation. Optimizing motor performance. Oxford: Butterworth-Heinemann; 1998.
9. Dobkin BH. Neurobiology of rehabilitation. Ann N Y Acad Sci 2004; 1038: 148-170.
10. Kwakkel G, Wagenaar RC, Twisk JW, Lankhorst GJ, Koetsier JC. Intensity of leg and arm training after primary middle-cerebralartery stroke: a randomised trial. Lancet 1999; 354: 191-196.
11. Peurala SH, Tarkka IM, Pitkanen K, Sivenius J. The effectiveness of body weight supported gait training and floor walking in patients with chronic stroke. Arch Phys Med Rehabil 2005; 85: 1557-1564.
12. Morone G, Bragoni M, Iosa M, De Angelis D, Venturiero V, Coiro P et al. Who may benefit from robotic-assisted gait training? A randomized clinical trial in patients with subacute stroke. Neurorehabil Neural Repair 2011; 25: 636-644.
13. Schwartz I, Sajin A, Fisher I, Neeb M, Shochina M, Katz-Leurer M, et al. The effectiveness of locomotor therapy using roboticassisted gait training in subacute stroke patients: a randomized controlled trial. PMR 2009; 1: 516-523.
14. Hidler J, Nichols D, Pelliccio M, Brady K, Campbell DD, Kahn JH, et al. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair 2009; 23: 5-13.
15. Mayr A, Kofler M, Quirbach E, Matzak H, Fröhlich K, Saltuari L. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis. Neurorehabil Neural Repair 2007; 21: 307-314.
16. Husemann B, Müller F, Krewer C, Heller S, Koenig E. Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study. Stroke 2007; 38: 349-354.
17. Westlake KP, Patten C. Pilot study of Lokomat versus manualassisted treadmill training for locomotor recovery post-stroke. J Neuroeng Rehabil 2009; 12; 6-18.
18. Kunkel A, Kopp B, Muller G, Villringer K, Villringer A, Taub E, et al. Constraint-induced movement therapy for motor recovery in chronic stroke patients. Arch Phys Med Rehabil 1999; 80: 624-628.
19. Sirtori V, Corbetta D, Moja L, Gatti R. Constraint-induced movement therapy for upper extremities in stroke patients. Cochrane Database Syst Rev 2009: CD004433.
20. Marklund I, Klassbo M. Effects of lower limb intensive mass practice in poststroke patients: single subject experimental design with long-term follow-up. Clin Rehabil 2006; 20: 568-576.
21. Regnaux JP, Pradon D, Roche N, Robertson J, Bussel B, Dobkin B. Effects of loading the unaffected limb for one session of locomotor training on laboratory measures of gait in stroke. Clin Biomech 2008; 23: 762-768.
22. Michaelsen SM, Luta A, Roby-Brami A, Levin MF. Effect of trunk restraint on the recovery of reaching movements in hemiparetic patients. Stroke 2001; 32: 1875-1883.
23. Peurala SH, P itkänen K, Sivenius J, T arkka IM. How much exercise does the enhanced gait-oriented physiotherapy provide for chronic stroke patients? J Neurol 2004; 251: 449-453.
24. Mahoney FI, Barthel D. Functional evaluation: the Barthel Index. Maryland State Medical Journal 1965; 14: 56-61.
25. Brun V, Mousbeh Z, Jouet-Pastre B, Benaim C, Kunnert JE, Dhoms G. Evaluation clinique de la marche de l'hémiplégique vasculaire: proposition d'une modification de la functional ambulation classification. Ann Readapt Med Phys 2000; 43: 14-20.
26. Kadaba, MP, Ramakrishnan HK, Wootten M.E. Measurement of lower extremity kinematics during level walking. J Orthopaed Res 1990; 8: 383-392.
27. Winter DA, Sidwall HG, Hobson DA. Measurement and reduction of noise in kinematics of locomotion. J Biomechan 1974; 7: 157-159.
28. Perry J. Gait analysis: normal and pathological function. Slack Inc.; Thorofare, NJ 1992.
29. Hidler J, Wisman W, Neckel N. Kinematic trajectories while walking within the Lokomat robotic gait-orthosis. Clin Biomech 2008; 23: 1251-1259.
30. Jonkers I, D elp S, Patten C. Capacity to increase walking speed is limited by impaired hip and ankle power generation in lower functioning persons post-stroke. Gait Posture 2009; 29: 129-137.
31. Lamontagne A, Fung J. Faster is better: implications for speedintensive gait training after stroke. Stroke 2004; 35: 2543-2548.
32. Nilsson J, Thorstensson A. Ground reaction forces at different speeds of human walking and running. Acta Physiol Scand 1989; 136: 217-227.
33. Kim SH, Banala SK, Brackbill EA, Agrawal SK, Krishnamoorthy V, Scholz JP. Robot-assisted modifications of gait in healthy individuals. Exp Brain Res 2010; 202: 809-824.
34. Robinson R.O, Herzog W, Nigg B.M. 'se of force platform variables to quantify the effects of chiropractic manipulation on gait symmetry. J Manipul Physiol Therapeut 1987; 10: 172-176.